Episiotomy as one of the problems of modern periniology

Abstract

Objective: to analyze the course of pregnancy, childbirth and indications for mediolateral episiotomy in 439 women.Materials and methods: the comparative analysis of outcomes of Rostov-on-Don in two clinical groups on materials of maternity Department of the state hospital of emergency medical care No. 1 of the city of Rostov-on-Don was carried out. The first group consisted of 439 women who are in childbirth according to the testimony was made episiotomy. Th e second clinical group consisted of 128 women who had no episiotomy if indicated.Results: the main indications for episiotomy in the fi rst clinical group was: threatened rupture of the perineum in 376 (85,65 %) cases, 41 (9,34 %) v distress of the fetus, at 22 (5,01 %) cases — the weakness of the attempts. In 128 women of the second clinical group, in the absence of an episiotomy, although indications for this operation were, there was a rupture of the perineum of the first and second degree.Conclusions: at the signs of a threatening rupture of the perineum or at the clinic of fetal hypoxia in the second period of labor, the mediolateral episiotomy is justified in modern obstetrics.